| NPI | 1285111468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124399) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104923) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2021-03-03 |